Active NPI
Vision Plastics USA,Inc.
- Eyewear Supplier
- Anchorage, AK
National Provider Identifier
1407062516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 236242
- Legal business name
- VISION PLASTICS USA,INC.
- Doing business as
- ultra eyewear
- Practice address
- 3500 Latouche St
Suite 100
Anchorage, AK 99508-4209 - Phone
- (907) 562-9777
- Fax
- (907) 562-2956
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Candelario Villanueva
- Title
- Owner
- Phone
- (907) 562-2845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 236242 | AK | Primary |
Addresses
Primary practice location
3500 Latouche St
Suite 100
Anchorage, AK 99508-4209
Mailing address
3500 Latouche St
Suite 100
Anchorage, AK 99508-4209
Phone (907) 562-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OP1159 | Medicaid | AK |
Other names 1
- ultra eyewear
National Provider Directory
National Provider Directory- Tax ID family
- Ultra Eyewear
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Anchorage, AK
- NPI 1659612315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407062516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 LATOUCHE ST",
"address_2": "SUITE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084209",
"telephone_number": "907-562-9777",
"fax_number": "907-562-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 LATOUCHE ST",
"address_2": "SUITE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084209",
"telephone_number": "907-562-9777",
"fax_number": "907-562-2956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION PLASTICS USA,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VILLANUEVA",
"authorized_official_first_name": "CANDELARIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-562-2845",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "AK",
"license": "236242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OP1159",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ultra eyewear",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.